Individual
JERRY DEAN SICHELSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1200 W IRONWOOD DR, COEUR D ALENE, ID 83814-2660
(208) 664-9729
Mailing address
1200 W IRONWOOD DR, COEUR D ALENE, ID 83814-2660
(208) 664-9729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5786
ID
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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